Provider Demographics
NPI:1831830777
Name:STOLTE PSYCHOLOGICAL SERVICES, PLLC.
Entity type:Organization
Organization Name:STOLTE PSYCHOLOGICAL SERVICES, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:N
Authorized Official - Last Name:STOLTE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-340-0889
Mailing Address - Street 1:PO BOX 481250
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-6247
Mailing Address - Country:US
Mailing Address - Phone:630-340-0889
Mailing Address - Fax:
Practice Address - Street 1:8121 N ELMORE ST
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-2411
Practice Address - Country:US
Practice Address - Phone:630-340-0889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health